Quiz 4 Actual 2025/2026 with Detailed Rationales |
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SECTION 1: Normal Physiological Aging Changes (8 Questions)
Q1: Which physiological change in the older adult affects drug absorption?
A. Increased gastric pH
B. Decreased intestinal blood flow
C. Delayed gastric emptying
D. All of the above
Correct Answer: D
Rationale: Correct because aging affects gastric pH, blood flow, and gastric
emptying, all impacting absorption.
Q2: Which assessment finding is a normal age-related change in the older adult?
A. Dementia
B. Presbyopia
C. Urinary incontinence
D. Depression
Correct Answer: B
Rationale: Correct because presbyopia (loss of near vision) is a normal age-related
change.
Q3: A 75-year-old patient's creatinine is 1.4 mg/dL. Which action should the nurse
take?
A. Document as normal
B. Calculate creatinine clearance
C. Increase IV fluids
D. Notify provider immediately
Correct Answer: B
, Rationale: Correct because creatinine alone is unreliable in older adults; creatinine
clearance or GFR should be calculated.
Q4: A 70-year-old patient reports dizziness upon standing. Which condition is most
likely?
A. Orthostatic hypotension
B. Dehydration
C. Cardiac arrhythmia
D. All of the above
Correct Answer: D
Rationale: Correct because orthostatic hypotension, dehydration, and arrhythmias
are all causes of dizziness in older adults.
Q5: Which skin change is common in older adults and increases risk for pressure
ulcers?
A. Increased elasticity
B. Thicker epidermis
C. Decreased subcutaneous fat
D. Increased moisture
Correct Answer: C
Rationale: Correct because loss of subcutaneous fat reduces cushioning and
increases pressure injury risk.
Q6: A 65-year-old male reports difficulty starting urination and a weak stream. What
is the most likely diagnosis?
A. Urinary tract infection
B. Benign prostatic hyperplasia
C. Prostate cancer
D. Neurogenic bladder
Correct Answer: B
Rationale: Correct because BPH causes hesitancy and weak stream in older men.
Q7: Which vaccine is recommended annually for adults over 65?
A. Pneumococcal
B. Influenza
C. Tdap